Journal of Clinical and Diagnostic Research : JCDR, Lateral tibial plateau and medial femoral condyle, Medial femoral condyle, Metadiaphysis femur, Medial femoral condyle, proximal tibia and head. Most common location of marrow oedema in pivot shift pattern was posterolateral tibial plateau and lateral femoral condyle and medial tibial condyle and medial femoral condyle in 31 cases (39.7 %) [Table/Fig-9]. Clin Radiol. Comparison of bone contusion seen by MRI in partial and complete tears of the anterior cruciate ligament. High signal well within the intercondylar notch with a partial-thickness tear inferiorly of the femoral insertion of the posterior cruciate ligament (best see on the coronal sequence). Rangger C, Kathrein A, Freund MC, Klestil T, Kreczy A. 255 MRI examinations in athletes with acutely injured knees (197 men; 58 women; mean age 24.2 years) were reviewed by two independent examiners; 219 MRIs were done within the first month after the injury and 36 within two to four months. The values of notch depth in patients who had ACL rupture concomitant lateral MT injuries and medial collateral ligament (MCL) injuries were 1.120.64 and 1.230.74mm, respectively, which were significantly higher than those in patients with only ACL injury (0.890.49mm) (P<0.05). Contusions of both surfaces of the joint are known as kissing contusions. Disclaimer. The .gov means its official. sharing sensitive information, make sure youre on a federal Study of imaging pattern in bone marrow oedema in MRI in recent knee injuries and its correlation with type of knee injury. The double sulcus sign is a radiographic marker that confers a high probability of ACL injury. ADVERTISEMENT: Supporters see fewer/no ads. The appearance of kissing contusion in the acutely injured knee in the 2023 Feb;19(1):107-112. doi: 10.1177/15563316221092320. PDFS Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. Article Background: The location and severity of tibiofemoral bone contusions in magnetic resonance imaging scans in patients with acute non-contact anterior cruciate ligament injuries can reflect the primary mechanisms of anterior cruciate ligament injuries. Knee Surg Sports Traumatol Arthrosc 27(2):659664, Miller LS, Yu JS (2010) Radiographic indicators of acute ligament injuries of the knee: a mechanistic approach. 1996 Jan;198(1):205-8 {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Yap J, Al Kabbani A, et al. Meniscal injury was unrelated to the extent or pattern of bone bruising. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. A biomechanical approach to MRI of acute knee injuries. There were 2 cases with hyperextension injury while playing football and 2 patients attained the injury after being hit by car. -, Radiology. These lesions also referred to as bone bruises, are presumably the result of microfracture of the medullar trabecula [5]. 2007;189:55662. Asai K, Nakase J, Oshima T, Shimozaki K, Yoshimizu R, Tsuchiya H (2020) Partial resection of the infrapatellar fat pad during anterior cruciate ligament reconstruction has no effect on clinical outcomes including anterior knee pain. J Comput Assist Tomogr. endobj no significant difference in location for different type/ mode of injury. All the patients underwent magnetic resonance imaging (MRI) preoperatively, and the diagnosis was confirmed with the aid of arthroscopy. Grade 1 refers to the uniform-ly low normal meniscal signal, grade 2 de-scribes increased signal within the meniscus . Bratisl Lek Listy 113(9):539543, Svoboda SJ (2014) ACL injury and posttraumatic osteoarthritis. Davies NH, Niall D, King LJ, Lavelle J, Healy JC. Contusions of both surfaces of the joint are known as kissing contusions. Knee Surg Sports Traumatol Arthrosc. Magnetic resonance imaging of bone bruising in the acutely injured kneeshort-term outcome. Kim-Wang SY, Spritzer CE, Owusu-Akyaw K, Coppock JA, Goode AP, Englander ZA, Wittstein JR, DeFrate LE. no financial relationships to ineligible companies to disclose. Arch Orthop Trauma Surg. MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. Following informed consent, complete history from the patient and relative (attendant) about injury was recorded. 2011;133:011012. Informed consent was obtained from the patients in English or regional language. Imaging the knee: Ligaments. Waiving out of pocket expenses incentivizes your members to use the KISx network resulting in savings for both planandmember. Terzidis IP, Christodoulou AG, Ploumis AL, Metsovitis SR, Koimtzis M, Givissis P. The appearance of kissing contusion in the acutely injured knee in the athletes. 2000;20:S13551. On applying fisher-exact test, p = 0.1655 i.e. -. Learn more about Institutional subscriptions. This is a preview of subscription content, access via your institution. Clin Orthop Relat Res. When femur rotates internally on a fixed tibia on the flexed knee; contraction of the quadriceps occurs, leading to lateral dislocation of the patella out of the trochlear groove [8,14]. Boks SS, Vroegindeweij D, Koes BW, Hunink MG, Bierma-Zeinstra SM. This pattern is thought to result resolution from contrecoup forces in the medial compartment at the forced valgus forces. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The datasets used or analysed during the current study are available from the corresponding author on reasonable request. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Hyperextension knee injury. This site needs JavaScript to work properly. Patterns of bone bruise in knee injury. It is a common injury that can occur from a fall, blow, or collision. The diagnostic outcome of LFNS was not in agreement with that of KC, as there was a poor coincidence according to the Kappa coefficient (Kappa=0.155<0.4, P=0.035). volume47,pages 173179 (2018)Cite this article. Traumatic bone bruising-a review article. Conclusions: Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. The appearance of kissing contusion in the acutely injured knee in the A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. This is a preview of subscription content, access via your institution. Hyperextension injuries of the knee: do patterns of bone bruising predict soft tissue injury?. [11] Anterior displacement of tibia refers to increased distance from the posterior cortex of the lateral tibial plateau to the posterior cortex of the femur. Reference article, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-43268, Case 3: pivot-shift injury with ACL and meniscal tears, Case 4: pivot-shift injury with impacted tibial plateau fracture, see full revision history and disclosures, doi:10.1148/radiographics.20.suppl_1.g00oc19s135, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, Ahlback classification system in assessing osteoarthritis of the knee joint, Kellgren and Lawrence system for classification of osteoarthritis, anterior cruciate ligament mucoid degeneration, MRI grading system for meniscal signal intensity, Pattern of bone contusion in knee injuries, valgus stress to flexed and externally rotated knee, contusion pattern:posterolateral tibial plateau and mid part of lateral femoral condyle, anterior force to tibia in a flexed knee (e.g. and kissing contusions of the lat-eral femoral condyle and medial tibial pla . knees against dashboard in motor vehicle collision, or fall onto flexed knee), contusion pattern:anterior tibia +/- posterior patella, contusion pattern: lateral femoral condyle and lateral tibial plateau +/- medial femoral condyle from medial collateral ligament (MCL) avulsive stress, direct force to anterior tibia with foot planted, contusion pattern: "kissing contusions" of anterior tibial plateau and anterior femoral condyle, contusion pattern: anterolateral lateral femoral condyle and inferomedial patella, associated with medial patellar retinaculum +/-. After knee injury, bone marrow oedema is frequently subchondral in location [4]. Patterns of bone bruise in knee injury | Radiology Reference Article No cost for the Employer or Employee with up to 80% savings. Am J Sports Med. Meniscal injury was unrelated to the extent or pattern of bone bruising. Am J Sports Med. Disabling symptoms are often prolonged. Imaging was done using FOV: 160 mm, slice thickness of 3 mm on Saggital images; FOV: 170 mm, slice thickness of 3 mm on coronal images; FOV: 170 mm, slice thickness on 3.5 mm and axial images with interslice gap of 1.5 mm. By directing imaging . Google Scholar; . Imaging Services | HCA Valley Regional Medical Center | Valley Regional Article 4 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Would you like email updates of new search results? Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. Most common type / mode of injury in patients with unclassified pattern in fall from bike (3 cases) followed by hit by car/ motor vehicle (2 cases) and injury while lifting heavy weight in 1 case [Table/Fig-13]. Below is the link to the electronic supplementary material. 1020 AJR:196, May 2011 Pai and Strouse ulation [2, 3]. In suspected ACL injury, bone marrow contusion may not be necessarily present. PubMed Application of biomechanical approach in MR interpretation helps in effortless assessment of osseous contusion and ligament rupture and mark delicate but significant abnormalities. Pivot shift injury in different location and its correlation with sports related injury and other type/mode of injury. (PDF) The appearance of kissing contusion in the acutely injured knee They can be used to diagnose ACL injuries. In our study, bone marrow oedema was seen in 138 cases (69%) out of 200 cases. Price excludes VAT (USA) None of the knees had been injured before. Background: . doi: 10.2106/JBJS.OA.21.00069. Extensive posterior capsular edema in keeping with a hyperextension injury. Sagittal proton density images showing (A) typical kissing contusion (2008) ISBN:0323076211. Ciuffreda P, Lelario M, Milillo P, Vinci R, et al. 1 0 obj 2014 . bubble tea consumption statistics australia. Epub 2013 Jun 6. In patients with bone marrow contusion, 14 were women (10.1%) and 124 were men (89.9%). Federal government websites often end in .gov or .mil. ;S'XhM. Results: Hyperextension injuries of the knee: do patterns of bone bruising Bone Bruise Distribution Patterns After Acute Anterior Cruciate Ligament Ruptures: Implications for the Injury Mechanism. Correlation between contusion pattern in clip injury and type/mode of injury. 1989 Mar;170(3 Pt 1):823-9 -, Am J Sports Med. Movement across knee helps in doing daily activities including walking, sitting, and standing. Acrobat Distiller 5.0.5 (Windows) A 124(62%) had trauma in right knee and 76(38%) in left knee. No funding was received to assist with the preparation of this manuscript. DOI: 10.1148/radiographics.20.suppl_1.g00oc19s135 PMID: 11046168. Bethesda, MD 20894, Web Policies Sanders classified bone marrow contusions in five different patterns as: Clip injury, Pivot shift injury, Dashboard injury, Hyperextension injury, and Lateral patellar dislocation [8]. Please enable it to take advantage of the complete set of features! Rodriguez W, Vinson EN, Helms AC, Toth PA. MRI appearance of posterior cruciate ligament tears. Type/Mode of injury in these cases are: impact during car accident in 4 cases, fall on flexed knee while playing cricket in 1 case, while getting downstairs in 1 case and fall from bike in flexed knee in 2 cases. Bone marrow contusion showed five patterns (according to Sanders classification) i.e., Clip injury in 39 cases (28.3%), Pivot shift injury in 78 cases (56.5%), Dashboard injury in eight cases (5.8%), Hyperextension injury in four cases (2.9%), Lateral patellar dislocation in three cases (2.2%). There were high rates of injury to the posterior capsule (52%), ACL (40%) and PCL (40%) but lower rates of injury to the menisci (20%), medial and lateral collateral ligaments (16%) and posterolateral corner (16%). They found that all the lesions in one patient do not heal at exactly the same speed. The 32 bone contusions (16 kissing contusions) were located as follows: lateral femoral condyle (n = 14; 8 type I, 6 type II); lateral tibial condyle (n = 9; 3 type I, 1 type II, 5 type III); medial tibial condyle (n = 7; 2 type I, 5 type III); medial femoral condyle (n = 2; both type I). Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Knee Surg Sports Traumatol Arthrosc. Looking for more information? Skeletal Radiol 47, 173179 (2018). Calvo-Gurry M, Hurley ET, Withers D, Vioreanu M, Moran R. Knee Surg Sports Traumatol Arthrosc. SuzanneWitjes, Tammo HPels Rijcken, Cor Pvan der Hart. Bone contusion patterns of the knee at MR imaging: footprint of the PDF ORIGINAL ARTICLE The appearance of kissing contusion in the acutely https://doi.org/10.1007/s00402-022-04366-9, DOI: https://doi.org/10.1007/s00402-022-04366-9. Eight of the kissing contusions were associated with anterior cruciate ligament tears, three with menisceal tears, four were isolated lesions, and one was delayed, following a menisceal tear.
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